Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | X010187-1 | NY |
NPI | 1316987258 |
---|---|
Provider Name | Dr. Frank J Valente |
First Address | West Islip, NY 11795-1031 |
Second Address | New York, NY 10017-1107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V09130 | (02) | NY |